keyword
https://read.qxmd.com/read/38516832/enhanced-recovery-after-surgery-eras-in-prolapse-repair-a-prospective-study-on-pre-emptive-uterosacral-cervical-block
#21
JOURNAL ARTICLE
Marta Barba, Alice Cola, Desirèe De Vicari, Tomaso Melocchi, Mauro Angelo Gili, Matteo Frigerio
OBJECTIVE: Enhanced recovery after surgery (ERAS) protocols have been introduced in gynecology. Postoperative pain management after vaginal procedures remains a relevant issue. In the present study we aimed to evaluate the effectiveness of pre-emptive uterosacral/cervical block (PUCB) for postoperative pain control in patients with uterovaginal prolapse undergoing vaginal hysterectomy and pelvic floor repair. We also evaluated the impact on the length of recovery. METHODS: This was a pilot study analyzing 40 women who underwent pelvic organ prolapse repair through uterosacral ligament suspension...
March 22, 2024: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/38514417/postendodontic-pain-using-single-file-system-with-different-irrigation-protocols-in-single-visit-root-canal-treatment-a-randomized-control-trial
#22
JOURNAL ARTICLE
Nishtha V Kathiria, Kailash Attur, Kamal M Bagda, Karthik P Venkataraghavan, Kiran Patel, Mohammed B Mustafa, Shylaja K Attur
AIM: To evaluate the intensity of postendodontic pain (PEP) using final irrigation with side-vented needle (SV), EndoActivator (EA), and Ultra X (UX) in single-visit endodontics (SVE) with F-One rotary files. MATERIALS AND METHODS: A total 150 patients indicated for endodontic treatment were selected. Single-visit endodontics treatment was performed under local anesthesia. For the final irrigation protocol, they were divided into three groups: group I (SV), group II (EA), and group III (UX)...
February 1, 2024: Journal of Contemporary Dental Practice
https://read.qxmd.com/read/38513642/-peripheral-regional-anesthesia-techniques-standards-in-flux
#23
JOURNAL ARTICLE
Thomas Wiesmann, Thorsten Steinfeldt, Ann-Kristin Schubert
This review article provides an overview of current developments in peripheral regional anaesthesia (RA). The authors present a subjective compilation based on discussions at professional events and inquiries to the Working Group on Regional Anaesthesia of the German Society for Anaesthesiology and Intensive Care Medicine (DGAI). The article addresses several relevant topics, including the handling of antithrombotic medication in peripheral blockades with reference to European guidelines, the debate on the discharge timing after plexus anaesthesia, and the consideration of rebound pain as an independent pain entity following RA...
March 2024: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/38513640/-common-and-new-regional-anaesthesia-techniques-under-review-from-head-to-abdomen
#24
JOURNAL ARTICLE
Thorsten Steinfeldt, Andreas Marx, Mark Dauster
By implementation of sonography regional anesthesia became more relevant in the daily practice of anesthesia and pain therapy. Due to visualized needle guidance ultrasound supports more safety during needle placement. Thereby new truncal blocks got enabled. Next to the blocking of specific nerve structures, plane blocks got established which can also be described as interfascial compartment blocks. The present review illustrates published and established blocks in daily practice concerning indications and the procedural issues...
March 2024: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/38512321/adjunctive-effect-of-photobiomodulation-therapy-with-nd-yag-laser-in-the-treatment-of-inferior-alveolar-nerve-paresthesia
#25
JOURNAL ARTICLE
Javad Yazdani, Hosein Eslami, MohamadAli Ghavimi, Meghdad Eslami
Background : Disruption of peripheral branches of the trigeminal nerve in the field of maxillofacial surgery is a known risk due to the close connection of these branches with the bony structures of the maxilla and mandible. As a result, injuries of the lingual nerve and inferior alveolar nerve take place within routine maxillofacial surgery procedures, including local anesthetic injection, wisdom tooth surgery, and dental implant placement, resulting in paresthesia and dysesthesia. During the last three decades, low-level lasers (LLL) have been frequently used in various medical fields...
March 2024: Photobiomodulation, photomedicine, and laser surgery
https://read.qxmd.com/read/38511680/effective-and-safe-treatment-of-risky-localized-liver-tumors-using-microwave-ablation-in-patients-with-comorbid-lung-diseases-unfit-for-deep-anesthesia
#26
JOURNAL ARTICLE
Murat Asik
OBJECTIVE: To assess the safety and efficacy of percutaneous microwave ablation (MWA) in treating high-risk localized liver tumors in patients unable to undergo deep anesthesia because of comorbid lung diseases. METHODS: Between January 2019 and January 2022, percutaneous MWA procedures were performed for 50 liver tumors. These lesions were situated in close proximity to anatomically essential structures, with a maximum distance to surrounding structures being 10 mm...
March 21, 2024: Medeniyet medical journal
https://read.qxmd.com/read/38509816/endurance-training-increases-mitochondrial-myoglobin-and-enhances-its-interaction-with-complex-iv-in-rat-plantaris-muscle
#27
JOURNAL ARTICLE
Rikuhide Koma, Tsubasa Shibaguchi, Tatsuya Yamada, Yudai Nonaka, Thomas Jue, Ayaka Yamazaki, Kazumi Masuda
AIM: Endurance exercise training is known to increase mitochondrial respiration in skeletal muscle. However, the molecular mechanisms behind this are not fully understood. Myoglobin (Mb) is a member of the globin family, which is highly expressed in skeletal and cardiac muscles. We recently found that Mb localizes inside mitochondria in skeletal muscle and interacts with cytochrome c oxidase subunit IV (COXIV), a subunit of mitochondrial complex IV, which regulates respiration by augmenting complex IV activity...
March 21, 2024: Acta Physiologica
https://read.qxmd.com/read/38508960/association-of-free-maternal-and-fetal-ropivacaine-after-epidural-analgesia-for-intrapartum-caesarean-delivery-a-prospective-observational-trial
#28
JOURNAL ARTICLE
J Amian, C F Weber, M Sonntagbauer, L Messroghli, F Louwen, H Buxmann, A Paulke, K Zacharowski
BACKGROUND: Ropivacaine is present in plasma in both protein-bound and free forms. The free form is responsible for the occurrence of toxic side effects. During obstetric epidural analgesia, free ropivacaine enters the fetal circulation depending on various factors. The aim of this study was to analyse a potential association between ropivacaine concentrations in maternal and fetal plasma and hence the extent of fetal exposure to ropivacaine. METHODS: In this prospective monocentre study, parturients who met the following criteria were included in the study: 1...
January 11, 2024: International Journal of Obstetric Anesthesia
https://read.qxmd.com/read/38505043/perioperative-morbidity-and-3-year-survival-in-non-intubated-thoracoscopic-surgery-a-propensity-matched-analysis
#29
JOURNAL ARTICLE
Brooks V Udelsman, Anna Jang, Ashok Muniappan, Peter L Zhan, Xiaodong Bao, Tongyan Chen, Henning A Gaissert
BACKGROUND: Non-intubated thoracoscopic surgery with spontaneous breathing is rarely utilized, but may have several advantages over standard intubation, especially in those with significant cardiopulmonary comorbidities. In this study we evaluate the safety, feasibility, and 3-year survival of thoracoscopic surgery without endotracheal intubation for oncologic and non-oncologic indications. METHODS: All consecutive patients [2018-2022] selected for lung resection or other pleural space intervention under local anesthesia and sedation were compared to a cohort undergoing elective thoracoscopic procedures with endotracheal intubation...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38504319/dissemination-of-clinical-and-scientific-practice-through-social-media-a-siaarti-consensus-based-document
#30
REVIEW
Andrea Cortegiani, Denise Battaglini, Giovanna Amato, Astrid Ursula Behr, Katia Donadello, Sharon Einav, Maria Grazia Frigo, Giorgio Fullin, Alberto Giannini, Mariachiara Ippolito, Franco Marozzi, Roberta Monzani, Gianpaola Monti, Marcus J Schultz, Vito Torrano, Gianluca Villa, Antonino Giarratano
BACKGROUND: Dissemination of medical practice and scientific information through social media (SoMe) by clinicians and researchers is increasing. Broad exposure of information can promote connectivity within the scientific community, overcome barriers to access to sources, increase debate, and reveal layperson perspectives and preferences. On the other hand, practices lacking scientific evidence may also be promoted, laypeople may misunderstand the professional message, and clinician may suffer erosion of professional status...
March 19, 2024: J Anesth Analg Crit Care
https://read.qxmd.com/read/38504220/comparison-of-diffusion-ranges-at-different-local-anesthetic-volumes-during-superior-laryngeal-nerve-block
#31
JOURNAL ARTICLE
Yin Bao, Huijun Wang, Lifeng Li, Hongbo Xu, Yun Li, Guyan Wang
OBJECTIVES: Ultrasound-guided superior laryngeal nerve (SLN) block is a practical and painless approach to avoid the hemodynamic stress response during endotracheal intubation and relieve sore throat after laryngeal surgery. The main purpose of this study was to establish an optimal dosage of local anesthetic when performing SLN block to help anesthetists balance analgesia and side effects. METHODS: Twenty fresh larynx specimens were obtained immediately after resection and then injected with 2-, 3-, 4-, or 5- mL of a lidocaine-blue dye mixture at bilateral SLN puncture sites...
March 19, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38504037/ambulatory-total-hip-and-knee-arthroplasty-a-literature-review-and-perioperative-considerations
#32
JOURNAL ARTICLE
Vivian H Y Ip, Vishal Uppal, Kwesi Kwofie, Ushma Shah, Patrick B Y Wong
PURPOSE: Total joint arthroplasty (TJA), particularly for the hip and knee, is one of the most commonly performed surgical procedures. The advancement/evolution of surgical and anesthesia techniques have allowed TJA to be performed on an ambulatory/same-day discharge basis. In this Continuing Professional Development module, we synthesize the perioperative evidence that may aid the development of successful ambulatory TJA pathways. SOURCE: We searched MEDLINE, Embase, CENTRAL, and the Cochrane Database of Systematic Reviews for ambulatory or fast-track TJA articles...
March 19, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38503326/radiofrequency-ablation-of-hepatocellular-carcinoma-guided-by-real-time-physics-based-ablation-simulation-a-prospective-study
#33
JOURNAL ARTICLE
Eric K Hoffer, Mary C Drinane, Vikrant Bhatnagar, Riya Mehta, David P Munger, Andrea Borsic
OBJECTIVES: To assess the safety and efficacy of radiofrequency ablation (RFA) guidance software that incorporated patient-specific physics-based simulation of each ablation volume. MATERIALS AND METHODS: Patients referred for curative ablation of hepatocellular carcinoma (HCC) of 2-5 cm diameter were prospectively enrolled. RFA was performed under general anesthesia. Procedure planning and intraprocedural modifications were guided by computer simulation of each ablation...
2024: International Journal of Hyperthermia
https://read.qxmd.com/read/38502424/feasibility-of-tension-free-repair-of-inguinal-hernia-in-senile-patients-under-ultrasound-guided-local-nerve-block
#34
JOURNAL ARTICLE
Yongkun Wang, Yang Zhang, Zhen Wu, Hailin Sun, Wei Zhang, Ailan Cai, Zhaoqing Cui, Shanping Sun
The clinical characteristics of open hernia repair under local nerve block guided by ultrasound and epidural anesthesia under daytime surgery mode were compared and analyzed, and the safety, rationality and effectiveness of tension-free repair of inguinal hernia in elderly patients under local nerve block guided by ultrasound were discussed. The clinical data of 200 patients who underwent inguinal hernia day surgery in Liaocheng People's Hospital Affiliated to Shandong First Medical University from January 2022 to October 2022 were retrospectively analyzed, including 150 patients who underwent local anesthesia block surgery and 50 patients who underwent epidural surgery...
March 19, 2024: Updates in Surgery
https://read.qxmd.com/read/38500431/-research-progress-on-distal-interlocking-screws-of-cephalomedullary-nails-in-intertrochanteric-fractures
#35
JOURNAL ARTICLE
Yiming Qi, Xiaoxu Wang, Shimin Chang
OBJECTIVE: To summarize the new research progress in distal interlocking screws of cephalomedullary nails for the treatment of intertrochanteric fractures. METHODS: Relevant domestic and foreign literature was extensively reviewed to summarize the static/dynamic types of distal interlocking screw holes, biomechanical studies, clinical studies and application principles, effects on toggling in the cavity, and related complications of distal interlocking screws. RESULTS: The mode of the distal interlocking screw holes can be divided into static and dynamic...
March 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38500156/effect-of-low-level-laser-therapy-in-wound-healing-of-primary-molar-teeth-extraction
#36
JOURNAL ARTICLE
Hazal Özer, Merve Abaklı İnci
INTRODUCTION: Tooth extraction in children requires attention to wound healing and pain management, which are influenced by patient-related factors and behavioral guidance. AIM OF THE STUDY: The study aimed to evaluate the effect of LLLT on healing sockets in pediatric patients with bilateral primary molar teeth extraction and determine its impact on pain management. METHODS: 6-10 years of age, systemically healthy, and with atraumatic extraction indications of bilateral primary molar teeth were included in the study (n = 40)...
March 19, 2024: BMC Oral Health
https://read.qxmd.com/read/38497855/a-simple-technical-innovation-to-prevent-needle-stick-injuries-among-dental-professionals
#37
JOURNAL ARTICLE
N Tabassum, M Rida Dimashkieh, V Chowdary Jasthi, F Murdhi AlEnazi, A Mohamed Mostafa Kamal, S M Kumar, A Al Qerban, A Mohidin Demachkia, A Al Salem, A Swapna Lingam, G Khalid Faisal Alfirm, S Ahmed, M Noushad, M Z Nassani
OBJECTIVE: Dental healthcare personnel face the potential danger of being exposed to infectious patients while administering local anesthesia injections during dental operations. This could lead to unintentional transfer of infectious diseases from patients to physicians. Although safety measures such as the One-hand-scoop technique and the use of safety syringes, plastic needle cap holders, and needles with safety caps are in place, there have been instances of needle stick injuries reported in clinics...
March 2024: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/38495727/optimizing-clinical-o-2-saturation-mapping-using-hyperspectral-imaging-and-diffuse-reflectance-spectroscopy-in-the-context-of-epinephrine-injection
#38
JOURNAL ARTICLE
Nils Gustafsson, Josefine Bunke, Ludvig Magnusson, John Albinsson, Julio Hérnandez-Palacios, Rafi Sheikh, Malin Malmsjö, Aboma Merdasa
Clinical determination of oxygen saturation (sO2 ) in patients is commonly performed via non-invasive optical techniques. However, reliance on a few wavelengths and some form of pre-determined calibration introduces limits to how these methods can be used. One example involves the assessment of sO2 after injection of local anesthetic using epinephrine, where some controversy exists around the time it takes for the epinephrine to have an effect. This is likely caused by a change in the tissue environment not accounted for by standard calibrated instruments and conventional analysis techniques...
March 1, 2024: Biomedical Optics Express
https://read.qxmd.com/read/38493616/unusual-presentation-of-intraductal-papilloma-on-the-nipple-a-case-report
#39
Noura Abdul Rahman, Ibrahim Arnaout, Mariam Krimsti, Amira Mardini, Kanan Rahme, Silva Ishkhanian
INTRODUCTION AND SIGNIFICANCE: Intraductal papilloma (IDP) is a benign breast lesion characterized by a small, delicate wart-like growth found within the milk ducts. Typically located centrally behind the nipple, IDP often presents with a serous, serosanguinous, or bloody discharge from the nipple, making it a common cause of abnormal nipple discharge. Differential diagnosis is crucial as it can be mistaken for other conditions such as pigmented Paget's disease and pigmented basal cell carcinoma...
March 8, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38490897/carbon-footprint-of-total-intravenous-and-inhalation-anesthesia-in-the-transcatheter-aortic-valve-replacement-procedure
#40
JOURNAL ARTICLE
Lei Yang, Joshua Hubert, Samwel Gitundu, Ethan Brovman, Frederick Cobey
OBJECTIVES: To quantify and compare the emissions for deep sedation with total intravenous anesthesia (TIVA) and general anesthesia with inhaled agents during the transcatheter aortic valve replacement procedure. DESIGN: A retrospective study. SETTING: A tertiary hospital in Boston, Massachusetts. PARTICIPANTS: The anesthesia records of 604 consecutive patients who underwent the transcatheter aortic valve replacement procedure between January 1, 2018, and March 31, 2022, were reviewed and analyzed...
February 22, 2024: Journal of Cardiothoracic and Vascular Anesthesia
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